Dealing with risks in patient care
Quality management
Michael Müller
Leiter GB Unternehmensentwicklung
Nikolai-Rumjanzew-Str 100
04129 Leipzig
Phone:
0341
-909-3100
Mail:
ed.groegtknas@relleum.leahcim
Abteilung Qualitätsmanagement
Conference frequency: wöchentlich
Risk management
Michael Müller
Leiter GB Unternehmensentwicklung
Phone:
0341
-909-3100
Fax: 0341-909-1474
Mail:
ed.groegtknas@relleum.leahcim
Qualitätsmanagement, Ärztlicher Deinst, Pflegedienst, Krankenhaushygiene
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Richtlinien und Qualitätsmanagementhandbücher z. B.: Onkologisches Zentrum, Apotheke, Pathologie, Hämostaseologie, Labor, Stroke Unit, Chest Pain Unit, Sterilgutversorgung, Pflegestandards (15.10.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Notfallmanagement (01.02.2020) |
| RM05 |
Pain management Richtlinien und Qualitätsmanagementhandbücher z. B.: Onkologisches Zentrum, Apotheke, Pathologie, Hämostaseologie, Labor, Stroke Unit, Chest Pain Unit, Sterilgutversorgung, Pflegestandards (15.10.2024) |
| RM06 |
Fall prophylaxis Pflegestandard: Sturzprophylaxe (13.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (01.01.2023) |
| RM08 |
Regulated handling of custodial measures Medizinische Richtlinie: Anwendung von freiheitsentziehenden Maßnahmen (01.06.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Patientensicherheit im OP, Med. RL 22 (01.08.2024) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss VA Patientensicherheit im OP (01.08.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings VA Patientensicherheit im OP (01.08.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Markierung des Operationsfeldes-Vermeidung von Eingriffsverwechslungen (01.08.2022) |
| RM17 |
Standards for recovery and postoperative care VA Patientensicherheit im OP (01.08.2024) |
| RM18 |
Discharge management Richtlinien und Qualitätsmanagementhandbücher z. B.: Onkologisches Zentrum, Apotheke, Pathologie, Hämostaseologie, Labor, Stroke Unit, Chest Pain Unit, Sterilgutversorgung, Pflegestandards (15.10.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Verfahrensanweisungen für das Klinikum: Notfallmanagement, Patientenidentifikation, Vermeidung Eingriffsverwechslungen, Patientensicherheit im OP, Einführung einer OP- Checkliste (WHO)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.10.2015 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF13 |
DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA) |